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APPENDIX 2: PARTICIPANTS CONSENT FOR AUDIO-RECORDING OF THE
101 APPENDIX 3: QUESTIONNAIRE
Screening question
Have you ever used sexual and reproductive health services at the clinic/ Hospital?
1. Yes 2. No
Section A: Demographic information
Please provide the following general information about yourself.
Instructions: Please tick the appropriate response A. How old are you?
[1] 18years [2] 19years [3] 20years [4] 21 years [5] 22years [6] 23years [7] 24years
B. What is your sex?
[1] Male [2] Female
C. What is your religious affiliation?
[1] Christian Roman Catholic [2] Traditional African religion [3] Christian Protestant [4] Islam
[5] Not affiliated to any religion [6] Other (specify) D. What is your relationship status?
[1] Single [2] Married [3] Dating [4] Co-habiting/living with a partner [5]
Divorced
E. What is your employment status?
[1] Employed [2] Unemployed [3]Other
102 F. What is your highest level of education?
[1] Grade 10 [2] Matric [3] Diploma [4] Bachelor’s Degree [5] post-graduate G. How far is the nearest health centre for you?
[1] Less than 5 km [2] 10 km [3] 20 km [4] More than 30 km H. What is your ethnicity
[1] Venda [2] Tsonga [3] Shona I. What is your sexual orientation (optional)
[1] Heterosexual [2] Homosexual [3] Bisexual [4] Asexual [5] Others (Specify)
Section II
Instructions: Below are a series of questions that I would like you to answer as truthfully as possibly by ticking a number that best describes where you stand. Indicate the extent to which you agree with the following statements, Use the scale below, Mark with an X where appropriate.
Strongly disagree Disagree Not sure Agree Strongly agree
1 2 3 4 5
Section 2.
Instructions: Below are a series of questions that I would like you to answer as truthfully as possible by ticking a number that best describes where you stand.
Indicate the extent to which you agree with the following statements. Please use the scale below and ark with an X where appropriate.
Strongly disagree Disagree Not sure Agree Strongly agree
1 2 3 4 5
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Statements on knowledge, perceptions and experiences on utilisation of sexual and reproductive health services
1 2 3 4 5 2.1 Sexual and reproductive health counselling services are available
for all youth at the local clinic/hospital
2.2 Contraceptive methods such as the condom, the pill, and the injection are constantly available at clinics and hospital for youth.
2.3 Emergency contraceptives are always available at the local clinic/hospital for the youth
2.4 The clinic/hospital always provides/stocks contraceptive methods that are most popular among youth patients.
2.5 Treatment for STIs is always available for all youth who need it at the local clinic/hospital.
2.6 Both male and female adolescents are accepted and served at the local clinic/hospital for the youth
2.7 There is no discrimination in reproductive health service provision for both married and unmarried youth at the clinic/ hospital.
2.8 Healthcare professionals involve youth in decisions regarding sexual and reproductive health treatment options at the local clinic/hospital
2.9 Youth are given their preferred treatment/contraceptives at the local clinic/hospital
2.10 Sexual and reproductive health referral services are available for youth when necessary at the clinic/hospital
2.11 Healthcare providers identify and establish plans for youth who require specific assistance, such as a young woman whose boyfriend opposes the use of contraceptives in the clinic/hospital where the youngster is being treated.
2.12 Youth are assured of the confidentiality policy at the clinic/hospital 2.13 Youth are provided with pamphlets on sexual and reproductive
health and youth-friendly services at the local clinic/hospital for the youth
2.14 The local clinic/hospital provides all patients information and/or audio-visual materials on reproductive health services.
2.15 Youth are encouraged to adhere to follow-up care by health providers at clinics/hospitals.
2.16 Youth who are STI patients receive a friendly welcome from the health care providers at the local clinic/hospital.
2.17 I am familiar with the different sexual and reproductive health services available at the local clinic/hospital
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2.18 I have been served quickly at the clinic/hospital
2.19 I have experienced long waits at the clinic/hospital, although they did not have a lot of patients
2.20 I have been given sufficient time to discuss issues related to sexual and reproductive
2.21 No parental consent is required for any service
2.22 Youth with an STI are forced to bring their partners for them to get treated for STI.
2.23 Health care professionals at the clinic/hospital always inform the youth alternative sources of services in their community.
2.24 Clinics and hospitals have youth friendly services.
2.25 Cost and expenses of sexual and reproductive health are a barrier to access sexual and reproductive health care needs for youth 2.26 Existing policies and strategies for sensitizing youth to utilise
sexual and reproductive health services at the clinic/hospital are effective.
2.27 My sexual partner discourages me from accessing sexual and reproductive health services
2.28 Peer pressure discourages youth from using sexual reproductive health care services
2.29 As youth, we encourage each other to use sexual reproductive health care services
2.30 Parents discourage the youth from using sexual reproductive health care services
2.31 Cultural beliefs prohibit youth from accessing sexual and reproductive health service
2.32 Religious beliefs prohibit youth from accessing sexual and reproductive health services
2.33 My religious faith encourages youth to use sexual and reproductive health services
2.34 There are youth clubs that encourage youth to use sexual and reproductive health services
2.35 Healthcare facilities provide/stock contraceptive methods that are most popular to among young patients
2.36 Safeguards in place to ensure that the service is used indefinitely are in place
2.37 Healthcare professionals are accommodating and use language that is understandable to you
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2.38 Medical supplies and contraceptives are always in shortage at the facilities
2.39 Youth are often included in the design and delivery of service.
2.40 My sexual partner discourages me from seeking sexual and reproductive health services.
2.41 STIs are inevitable.
2.42 Use of contraceptives makes one infertile.
2.43 Use of contraceptives makes girls have problems in their menstruation.
Would you be willing to be interviewed (by me) in details on these aspects?
Yes NO
If yes, please provide your name and cell number (only for the purposes of contacting you as these will not be divulged to any third parties)
Name (only to be used for the purposes of reaching you)
……….
Cell number………...
Thank you for your participation.
106 APPENDIX 4: INTERVIEW GUIDE FOR YOUTH
Please provide general information about yourself.
Section A: Demographic information
Please provide general information about yourself.
Instructions: Please tick the appropriate response
A. How old are you?
[1] 18years [2] 19years [3] 20years [4] 21years [5] 22years [6]
23years [7] 24years B. What is your sex?
[1] Male [2] Female
C. What is your religious affiliation?
[1] Christian Roman Catholic [2] Traditional African religion [3] Christian Protestant [4] Islam [ 5] Not affiliated to any religion [6] Other (specify) D. What is your relationship status?
[1] Single [2] Married [3] Dating [4] Co-habiting/living with a partner [5] Divorced
E. What is your employment status?
[1] Employed [2] Unemployed [3] Other F. What is your highest level of education?
[1] Grade 10 [2] Matric [3] Diploma [4] Bachelor’s Degree [5] Post- graduate
G. How far is the nearest health centre for you?
[1] Less than 5 km [2] 10 km [3] 20 km [4] More than 30 km H. What is your ethnicity
[1] Venda [2] Tsonga [3] Shona I. What is your sexual orientation (optional)
[1] Heterosexual [2] Homosexual [3] Bisexual [4] Asexual Others (Specify)
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Section B: Knowledge, Perceptions and Experience of Sexual Reproductive Health Services
1. What do you understand by reproductive health?
2. What do you understand by reproductive health services?
3. Can you tell me some of the reproductive health services your aware of?
4. Can you tell me if you have used these services?
a. If yes, please share your experience.
b. If no, why have you not?
5. Do you believe it is vital for a young person like you to have access to reproductive health services?
a. Why do you think so?
6. Do you feel like our society is open enough for youth to freely seek sexual and reproductive health care services? Please explain your answer.
7. Does your religious faith influence your views and experiences with/ or lack of accessing sexual and reproductive health care services? Please explain your answer.
8. Does culture influence your views and experiences with/ or lack of accessing sexual and reproductive health care services? Please explain your answer.
9.If you are in a relation, to what extent does the views of your partners influence your views and experiences with/ or lack of accessing reproductive and sexual health services? Please explain your answer.
10. How youth friendly are the reproductive and sexual health services offered at the local clinics/hospital? Please explain your answer.
11. What are some of the challenges you encounter when you visit a clinic/hospital for reproductive and sexual services. Please explain.
a. Do you feel they can be addressed? Please explain your answer.
12. Given your experience in using the sexual and reproduction health services from any of the places that you mentioned, would you advise your friend to do the same? Please explain your answer.
13. Do other youth in your area use sexual and reproductive services at the clinic?
14. What are some of the misconceptions that could prevent youth from accessing reproductive and sexual services at the clinic?
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15. In your opinion, what discourages the youth like you from making use of reproductive health services?
16. What do you think should be done to improve the reproductive health services offered in local clinic/hospital?
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APPENDIX 5: INTERVIEW GUIDE FOR SERVICE PROVIDERS